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1 Taishi Judo Club 5 th Anniversary Invitational Tournament Date: Sunday, February 21, Time: Location: Tournament will start promptly at 10:00AM Cerritos College Alondra Boulevard Norwalk, CA Sanction: This tournament is sanctioned by the USJF # Eligibility: Awards: This tournament is open to all contestants who are paid members of USJF, USJA or USA Judo. All contestants must show valid proof of current membership at registration. First Place trophies, Second and Third Place medals will be awarded to the top three contestants in each division. Tournament Director: First, Second and Third Place team trophies will also be awarded! Nicole Harada phone: The Tournament Director reserves the right to make any necessary changes in the best interest of the sport, and the safety of the competitors. Head Referee: Mark Yamanaka, IJF-A Referee Referee & Coaches Meeting, led by Mark Yamanaka, will be held at 8:30AM

2 REGISTRATION Pre-Registration: $40. 00, 1 st Division $35. 00, 2 nd Division and/or each additional family member of the same immediate family Pre-Registration entries must be postmarked by February 1, 2016 to: Liane Harada 1436 West 173 rd Street Gardena, CA To qualify for the pre-registration discount, complete entry form(s) with the proper entry fee(s) must be postmarked by Monday, February 1, A copy of current membership card for USJF, USJA or USA Judo must be included! All pre-registered contestants must weigh-in during their designated time, as listed below, on the tournament day. Walk-Up Registration: $50.00, Per Division All walk-up registration contestants must register and weigh-in during their designated time, as listed below, on the tournament day. Checks and money orders should be made payable to: TAISHI JUDO CLUB All Entry Fees are Non-Refundable Walk-Up Registration and All Weigh-Ins: Yonen (5-12 years old): 7:30-8:30am Shonen (13-16 years old): 8:30-9:30am Seinen, Seinen Novice (17+) and Masters (35+): 9:30-10:30am Anyone registering and/or weighing-in after their designated time on the tournament day will be assessed an additional $15 fee, if their registration is accepted! Please register and/or weigh-in during your proper time on the tournament day!

3 TOURNAMENT RULES All matches will be conducted using the current Contest Rules for Judo, as stipulated by the International Judo Federation (IJF), with the following modifications: 1. Pre-2003 injury rules will be used, except Seinen Brown/Black Belt divisions. 2. Contest area will be 6x6 meters with 4 meter safety area between mats and 3 meter outside border. 3. The CARE system will not be in effect, and three referees will be on the mat. 4. Modified Double Elimination will be used for divisions with 6 or more competitors. 5. Round Robin System will be used for divisions with 5 or less competitors. For all Round Robin divisions: the division winners will be determined by (1) most wins; if wins are tied, (2) most points; and if wins and points are tied, the winner will be determined by (3) head-to-head competition. 6. Yonen (5-12 years old) a. Match Time = 2 ½ minutes b. Double Drop Knee techniques WILL NOT be allowed (hansokumake for that match) c. No shime-waza (chokes) d. No kansetsu-waza (arm locks) 7. Shonen (13-16 years old) and Seinen Novice (17 years and older) a. Match Time = 3 minutes b. No kansetsu-waza (arm locks) 8. Seinen Brown/Black Belt a. Match Time = 4 minutes b. Must be 15 years of age, or older, to compete c. Must hold a rank of green belt, or higher, to compete 9. Masters (35 years and older) a. Match Time = 2 ½ minutes b. Kansetsu-waza (arm locks) will be allowed c. Shime-waza (chokes) will be allowed 10. For all divisions, there is no time limit in Golden Score 11. White judo gis are mandatory. Blue judo gis are optional. 12. All contestants must have properly fitting blue and white competition judo belts. The Tournament Director reserves the right to make any necessary changes in the best interest of the sport, and the safety of the competitors.

6 LIABILITY RELEASE (For All Contestants Under 18 Years of Age) I authorize the following person(s) to act in my behalf in any and all matters requiring parental consent for my child during the Taishi Judo Club 5 th Anniversary Invitational Tournament or travel to and from it. I agree to accept all financial obligations incurred as a result of any medical assistance, hospitalization and related expenses provided to my child. If an act of vandalism causing damage to personal or real property associated or related in any way to this tournament occurs, those involved will be dismissed from competition. The participant or parent(s) of a minor involved agree to indemnify and pay for all such losses and damages. Signed (Contestant) Date Signed (Parent/Guardian) Date CONSENT FOR AGE/WEIGHT CHANGE (For All Contestants Under 18 Years of Age) We, (I), the undersigned parent of have been informed of the method of competition for the Taishi Judo Club 5 th Anniversary Invitational Tournament. A. We, (I), express our (my) consent that may be moved up into another weight bracket of competition of the same age or another age bracket of the same weight. B. We, (I), express our (my) consent that MAY NOT be moved into another weight or age bracket. Signed (Contestant) Date Signed (Parent/Guardian) Date THE FOLLOWING SECTION MUST BE COMPLETED BY ALL INSTRUCTORS/SENSEIS FOR EVERY CONTESTANT: NON-BLACK BELT WAIVER (For All Non-Black Belt Contestants) I,, a judo instructor who has been awarded the judo rank of Shodan or higher, under the auspices of one of the following organizations: United States Judo Federation, United States Judo Association, or USA Judo, hereby certify that, although not having been awarded the judo rank of Shodan or higher is of sufficient aptitude and skill in judo to compete in the Taishi Judo Club 5 th Anniversary Invitational Tournament. Date signed Signature of Instructor Rank

7 WARNING! WAIVER AND RELEASE OF LIABILITY AND AGREEMENT TO PARTICIPATE In consideration of being permitted to participate in any way, including travel to and from, in any Judo tournament, practice, clinic, and related events and activities ( Activity ) of the United States Judo Federation, Inc., USA Judo/United States Judo, Inc., United States Judo Association, Inc., Nanka Judo Yudanshakai, Inc., Cerritos College, and Taishi Judo Club, I agree: 1. I understand the nature of Judo activities and believe I am qualified to participate in such Activity. I also understand the rules governing the sport of Judo. 2. I further acknowledge that prior to participating, I will inspect the mats, equipment, facilities, competition pools or divisions, and the elimination or scoring system to be used, and if I believe anything is unsafe or beyond my capability, I will immediately advise my coach, supervisor, and/or a tournament official of such conditions and refuse to participate. 3. I acknowledge and fully understand that I will be engaging in a contact sport that might result in serious injury, illness or disease, including permanent disability or death, and severe social and economic losses due not only to my own actions, inactions or negligence, but also to the actions, inactions, or negligence of others, the rules of the sport of Judo, or conditions of the premises or of any equipment used. Further, I acknowledge that there may be other risks not known to me or not reasonably foreseeable at this time. 4. Knowing the risks involved in the sport of Judo, I assume all such risks and accept personal responsibility for the damages following such injury, illness, disease, permanent disability, or death. 5. I hereby release, waive, discharge and covenant not to sue the United States Judo Federation, Inc., USA Judo/United States Judo, Inc., United States Judo Association, Inc., Nanka Judo Yudanshakai, Inc., Cerritos College, and Taishi Judo Club, together with their affiliated clubs, their respective administrators, directors, officers, agents, coaches, and other employees or volunteers of the organization, event officials, medical personnel, other participants, their parents, legal guardians, supervisors and coaches, sponsoring agencies, sponsors, advertisers, and if applicable, owners, lessors, and lessees of premises used in conducting the event, all of whom are hereinafter referred to as "Releasees", from any and all litigation expenses, attorney fees, loss, liability, damage or costs on account of injury, illness, disease, including permanent disability and death or damage to property, caused or alleged to be caused in whole or in part by the negligent acts or omissions of the Releasees or otherwise to the fullest extent permitted by law. I HAVE READ THE ABOVE WARNING, WAIVER, AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE. I AGREE TO PARTICIPATE KNOWING THE RISKS AND CONDITIONS INVOLVED AND DO SO ENTIRELY OF MY OWN FREE WILL. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENT/LEGAL GUARDIAN AS EVIDENCED BY THEIR SIGNATURE BELOW. I INTEND THIS TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING SHALL CONTINUE IN FULL FORCE AND EFFECT. Participant Participant s Signature Date FOR PARENTS/LEGAL GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/legal guardian with legal responsibility for this participant, do consent and agree to his/her release, as provided above, of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child s involvement or participation including litigation expenses, attorney fees, loss, liability, damage or costs which may incur as the result of the minor child s participation in these programs as provided above, even if arising from their negligence, to the fullest extent permitted by law. I have instructed the minor participant as to the above warnings and conditions and their ramifications. Parent/Legal Guardian Parent/Legal Guardian s Signature Date

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